Watson, Damon Omar

Watson, Damon Omar is an individual health care provider with primary practice located at 6031 Harbour Park Dr , Midlothian VA 23112-2160. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Watson, Damon Omar can be contacted via phone (804) 608-3200.

Contact Information

Primary practice address
6031 Harbour Park Dr Midlothian VA 23112-2160
Phone: (804) 608-3200
Fax: (804) 608-3201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 0401412132 Virginia
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 2901018153 Michigan
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 0438000245 Virginia

Profile Details

NPI number 1417155821
LBN Legal business name Watson, Damon Omar
Credentials DDS, MD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2007
Last updated Aug 2nd, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417155821 NPPES
Michigan Other 2901018153 DENTAL LICENSE NUMBER

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